Sinus-T

Osteotome Technique by TR Sinus System

STD 3020LSTD 3525LSTD 4030L

SRD 3008L

ST 4006 ST 4007 ST 4008 ST 4009 ST 4010 ST 4011

SDG 2515RA 8011

SRD 3508LSRD 4008L

Trephine Drill Round Drill

Drill Stopper

RatchetAdapter

Depth Gauge

Ø3.0 / Ø3.5 / Ø4.0Ø3.0 / Ø3.5 / Ø4.0

Ø2.0 / Ø2.5 / Ø3.0

Ø2.5

Ø5.045

3

86

7

29

15

29

15

O-Ring

“TR Sinus System” contains trephine drills and round drills, will provide easy & safe sinus membrane lifting.

To overcome the short of bone length on maxillary molar area in case of sinus membrane lifting, osteotome technique is useful to obtain su�cient bone for placing implant.

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Surgical Instruments Sinus-T

72

Order Code: SNT 01

Drilling (Trephine Drill)

Drilling (Round Drill)

Insertion (Fixture)

Push (Osteotome)

Sinus Protocol

1

2

3

4

Drilling Drilling InsertionPush

7mm

0.5~1mm

15~20rpm

1,000~1,500rpm

15~20rpm

1 2 3 4

Precise X-Ray reading is very importantto approach closely under the sinus �oor with trephine drill.

Choose correct length of stopper and put it on the trephine drill and then drill 0.5~1mm under the sinus �oor.(Drill Speed : 1,000 ~ 1,500 RPM)

After malleting at correct position of osteotome, do microfracture safely on sinus �oor.

Enter the osteotomy site with round drill, thereby lift the sinus membrane slowly.(Drill Speed : 15 ~ 20 RPM)

After checking the lift of the sinus membrane, place the �xture.

Putting stopper on the trephine drill reduce the risk of perforation of sinus �oor accidentally during the surgery.

Mallet 2 or 3 times to obtain a microfracture on sinus �oor.If the several malletings do not work for the microfracture, do drilling again with trephine drill toward sinus �oor.(Drill Speed : 15 ~ 20 RPM)

Round drill minimizes the risk of perforation of sinus membrane with rounded shape.

Surgical Instruments

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When Torx Abutment Screw Head was damaged, you can use 0.3 Slot Driver instead of 1.7 Torx Driver.

0.3 Slot Driver

Machine Ratchet

MD 0322 HD 0315A

1.7 Torx Abutment Screw

Screw Tapping

Remove Bar

Reverse Cutting Drill

0.3 Slot Driver

External Guide Internal Guide

Dr.SOS

Immediate Action For EmergencyThe Kit for the easy removal of Broken Abutment ScrewRegeneration of damaged internal threads in the �xture

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Surgical Instruments Dr.SOS

74

Order Code: DRS 00

It is connected to �xture and guides through Remove Bar toenter and support broken abutment screw.

Mores Taper

Short

Branemark Connection Branemark Connection Branemark Connection2.4 Hex 2.7 Hex 3.4 Hex

Hex

Morse Taper 6° Morse Taper 8°

*Option: ITI Guide

Morse Taper 11°

EXT 24S

EXT 24L

EXT 27S

EXT 27L

EXT 34S

EXT34L

Long

Internal Guide (Internal Taper Connection)

INT 6S Torx

INT 6L

INT 8S Torx

INT 8L

INT 11S Hex

*HEX Type

INT 11L

External Hex

Torx

Non-Torx

*Narrow Fix

Morse Taper 5.7°

INT 5.7S

External Guide (External Connection)It is connected to �xture and guides through Remove Bar toenter and support broken abutment screw.

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Connect the Reverse Cutting Drill to low speed handpiece,with 1,000~2,000 RPM in reverse rotation.Then, repeat drilling up and down to grind and changethe top of the broken screw.

*CAUTION): Be careful not to break it with overheating.

When internal threads in the �xture were damaged, use Screw Tappingto regenerate �xture internal threads.

ExternalFixture

Screw

Internal FixtureNon Submerged

Internal FixtureSubmerged SM

NarrowSM Regular

SM WideExtra Wide

(PSI, IFI)Internal Fixture

Narrow RegularT-Wide

Wide

SGT 1620A SGT1820A

RBEX 24S RBEX 24L IRBS IRBL RCD 36

RBH 10

External 2.4 HexØ1.25

External 2.7/3.4 HexInternal 6°, 8°, 11°

Screw Tapping

Ø1.6 Ø1.8 Ø2.0SGT2020A Ø2.5SGT2520A

Handle

DTW 0060

Torque Wrench

Remove BarUnder 20 RPM in reverse rotation

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Reverse Cutting Drill

76

Ready

Guide Fixing

A) Remove Bar

B) Remove Bar + Handpiece

Explore

Screw Tapping

Tip)

After cleaning thoroughly broken screw area,repeat inserting oral-use oil to let the broken screw out.

Locate a proper guide from the "Dr.SOS Kit" onto a �xtureinside mouth and support it securely to make it vertical.

Connect Remove Bar to the Handle, reverse it by hand to removethe Broken Abutment Screw, and be careful not to drop o� theproduct into the mouth.

After connecting the Remove Bar into low speed handpiece,it is also possible to remove it with reverse rotation of low RPM.

Use explore to completely remove it after reaching certain height.

When �xture internal threads were damaged,use Screw Tapping to regenerate �xture internal threadsand connect Abutment.

TIP) When pulling, hand will feel it touches.If no touch on hands, lean guide and bur leftand right until getting feel.

*You can use ratchet to support the guide when it's hard to support the guide by hand.

*Con�rm the level of line on the Remove Bar.

*less than 25 RPM. *Remove Bar and drill extension connection enables a longer use.

The Kit for the easy removal of Broken Abutment ScrewRegeneration of dameged internal threads in the �xture

Immediate Action For Emergency, Dr. SOS

Surgical Instruments

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0 1 2 3

4 5 6

7

8

9

10

11

Description

For Ratchet Wrench

For Contra Angle

Code Length Color CodeApical/Neck(Ø)

MSD 1218M 1.2 161.2mm Initial Drill

Torque Wrench DTW 0060

MHDC 2525Driver(long)

MHDC 2520Driver(short)

Driver(short) MHDR 2513

Driver(long) MHDR 2518

Open Wrench OW 002

1.0 / 1.6 17BEP 17161.0/1.6mm Bone Expander

1.3 / 2.3 171.3/2.3mm Bone Expander BEP 1723

1.7 / 3.1 171.7/3.1mm Bone Expander BEP 1731

2.4 / 3.7 172.4/3.7mm Bone Expander BEP 1737

3.0 / 4.4 173.0/4.4mm Bone Expander BEP 1744

3.5 / 5.1 173.5/5.1mm Bone Expander BEP 1751

0

1

2

3

4

5

6

7

8

9

10

11

(mm)

Bone Expander SetSurgical Instruments Bone Expander

78

Osteotomes have been utilized in a variety of techniques designed to prepare implant sites in maxilla, to elevate the �oor of the maxillary sinus and to expand the atrophic edentulous ridge. Despite its e�ectiveness, the surgical mallet is not well tolerated by patients.Using a drill to prepare implant sites in maxilla and mandibular also have a risk of maxillary perforation and penetration into the nerve mandibularis.As safe alternative and complementary instruments to the osteotomes and drills,Bone Expander can be used for preparation of implant sites, atraumatic ridge expansion and condensing of bone.

Order Code: BEP(M) 00

IFI55xxIFI48xx IFI65xx SFR45xx IFI65xx SFW53xxIFI40xxIFI35xx SFN38xx

In order to give depth and direction to desired surgical area, 1.2mm drill is used.(800 rpmn 1200rpm is the capable engine speed)

*Option: MSD 2016(Pic 3->)

To expand the implantation site, 1.6mm Bone Expander(Color Code: Yellow) is used (Check Laser Marking)

Use 3.1mm Bone Expander (Color Code: Yellow) to expand the desired surgical area.(Check Laser Marking)

Use 4.4mm Bone Expander (Color Code: Green) to expand the desired surgical area.(Check Laser Marking)

Use 3.7mm Bone Expander (Color Code: Red) to expand the desired surgical area.(Check Laser Marking)

Continue by using 5.1mm Bone Expander to expand the desired surgical area.(Check Laser Marking)Hardening the Bone has a risk of Ischemia which makes the Doctor to checkwhether su�cient bleeding is occurring.Give Scrape to the desired surgical area to increase bleeding - Bleeding help Osseo Integration.

Implant SFW 5312 to the expanded hole by Bone Expander

Use 2.3 Bone Expander (Color Code: Yellow) to expand the desired surgical area.(Check Laser Marking)

*Connect the Bone Expander with Adapter. Then �nish with Ratchet Wrench.

0 1 2 3 4 5 6

Pic 1

Pic 2

Pic 3

Pic 4

Pic 5

Pic 6

Pic 7

Pic 3Pic 2Pic 1 Pic 4 Pic 5 Pic 6 Pic 7

ProtocolDIO Implant Bone Expander hardens Bone density to erase di�culties caused fromOsseointegration of soft or Poor Bone.(This procedure shows the method of Implantation of SFW 5312)

79

Sinus Lift Kit

Custom designed kit comprised of 6 tools used in sinus procedures

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Surgical Instruments Sinus Lift Kit

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DSNK 02 Membrane Elevator DSNK 02 Membrane Elevator

DSNK 05 Membrane Elevator DSNK 05 Membrane Elevator

DSNK 04 Bone Graft PackerDSNK 04 Bone Graft Packer

DSNK 03 Membrane Elevator DSNK 03 Membrane Elevator

DSNK 01 Membrane Detach ElevatorDSNK 01 Membrane Detach Elevator

DescriptionCodeSinus Elevator & Membrane Lift Tips

Order Code: SLK 01

Osteotome KitSurgical Instruments Osteotome Kit

81

Order Code: OST 01

SM/ IFI/ FTN

Initial Drill

Compaction

Compaction

Compaction

Compaction

FTN 33xxB

SFN 38xx/ IFI 35xxPM

SFR 45xx/ IFI 40xxM

SFW 53xx/ IFI 48xxM/ FTN 50xxB

OSL 2028

OSL 2130

OSL 2133

OSL 3039

OSL 3546

Ø2.0

Ø2.8

Ø2.1

Ø3.0

Ø2.1

Ø3.3

Ø3.0

Ø3.9

Ø3.5

Ø4.6

Sinus ElevationOSE 2228Ø2.2

Ø2.80

1

2

3

4

5

Code ApplicationDiameter(L) Image

Narrow Regular Wide

Ø4.95 Ø5.65 Ø5.9

Protocol

Size & Code

Guide Drilling Initial Drilling Bone PlaningDrill through the cortical bone atthe selected site for the implantplacement.

Select an appropriate drill stopperaccording to the desired depth ofimplant placement.

Insert its guide part into a drilledosteotomy site and removethe uneven bone.

*Handpiece speed is recommended to be in a range between 400~600 rpm.

1 2 3

BP 5010 BP 5710 BP 5910

30

10

5.5

Bone Planer SetBone Planers are used to �atten the uneven bone during osteotomy reparation

82